Department of Pediatric Surgery, La Paz University Hospital, Madrid, Spain.
Pediatric Burn Unit, Department of Pediatric Surgery, La Paz University Hospital, Madrid, Spain.
Clin Pediatr (Phila). 2023 Oct;62(9):1080-1086. doi: 10.1177/00099228231151398. Epub 2023 Jan 30.
Early debridement of childhood burns under sedoanalgesia in the emergency department (ED) may help to reduce the need of surgery and delay in treatment. We performed a retrospective study in burned children who underwent debridement in the ED under sedoanalgesia between March 2020 and December 2020 (COVID group), and were compared with the same months in 2019 (control group). Demographics, burns features, admission rate, and estimated costs associated were collected. A total of 733 children presented at the ED with burns (302 COVID group and 431 control group) without significant differences in burn features between them. Admission rate was significantly lower in COVID group (9.4% vs 19.4%; < .001), as was the total associated cost for each group ($101 585 vs $209 656; < .001). The use of sedoanalgesia for the early treatment of pediatric burns in the ED during COVID-19 pandemic is a cost-effective alternative that has reduced the need for hospital admission and associated costs.
在急诊科（ED）进行镇静镇痛下的儿童烧伤早期清创术可能有助于减少手术需求和治疗延迟。我们对 2020 年 3 月至 12 月期间在 ED 进行镇静镇痛下清创术的烧伤儿童进行了回顾性研究（COVID 组），并与 2019 年同期（对照组）进行了比较。收集了人口统计学、烧伤特征、入院率和相关费用估计。共有 733 名儿童因烧伤到 ED 就诊（COVID 组 302 名，对照组 431 名），两组烧伤特征无显著差异。COVID 组的入院率明显较低（9.4% vs. 19.4%；<.001），每组的总相关费用也较低（$101585 vs. $209656；<.001）。在 COVID-19 大流行期间，在 ED 对儿童烧伤进行镇静镇痛下的早期治疗是一种具有成本效益的替代方法，减少了住院和相关费用的需求。
